Fever infectious fever non-infectious fever moderate fever
发
热
感染性发热 非感染性发热 中等度发热
ultra high fever
continued fever remittent fever intermittent fever
超
稽 弛 间
Summrize 总结
Master 掌握 Definition of fever, normal body temperature, classification of fever, clinical significance of the common fever type Acquaintance 熟悉 The causes of fever, pathogenesis, and interrogation points
Continued fever 稽留热
over39-40 ℃, lasting a few days or weeks,temperature fluctuations will not be more than 1 ℃ in 24 hours.
39-40 ℃ 以上，持续数天或数周，24小时体温波动不超过1 ℃ 。如大叶 性肺炎、伤寒等
高
留 张 歇
热
热 热 热
Difinition 定义
Fever is due to various reasons, so that the body heat production and heat balance, causes the body temperature to rise beyond the normal range.
Pathogenesis 发病机制
1. Pyrogen fever
致热源性发热
2. Non—pyrogen fever
非致热源性发热
Classification 发热分度
（Oral measurement） The low-grade fever ：37.3～38℃
moderate fever：38.1～39℃
Non-infectious fever非感染性发热
Hyperthyrea甲状腺功能亢进； Thermoregulation dysfunction 体温调节中枢异； Aseptic necrosis of material damage or necrosis 无菌性坏死物质损伤/坏死(吸收热)。
体温骤升达高峰后持续数小时，又骤降至正常水平，经数小时或数天间歇后， 体温再次突然升高，如此反复交替。见于疟疾、急性肾盂肾炎等。
Accompanying symptoms 伴随症状
1. Cough, sputum, chest pain
急性胃肠炎.细菌性疾病等 3.rash
呼吸系统疾病
2.Nausea, vomiting, abdominal pain, diarrhea
Fever（发热）
专业教研室 林宇
复习旧课
The body's internal temperature
1.What does body temperature mean？
2.Where is the thermotaxic center？
Hypothalamus
体温调节中枢----下丘脑
Key words
Remittent fever 弛张热
More than 39 ℃, temperature fluctuations will be more than 2 ℃ in 24 hours, but also more than 37 ℃.
39 ℃以上,24小时波动范围超过2 ℃ ，但在37 ℃以上。常见于败血症、风 湿热、重症肺结核及化脓性炎症。
Intermittent fever间歇热
The temperature soared after reaching its peak lasting several hours, then dropped to normal level, after several hours’ or days’ intermission, temperature rise suddenly, such repeated alternation.
3、Anal measurement 肛测法 （36.5-37.7℃）
Physiological fluctuations（生理性波动）
24h does not exceed 1 ℃（24h不超过1℃）
Impact factors:
Age Diurnal rhythm The movement,labor, dining, High temperature environment, Premenstrual etc..：
3、 What is the difference between the intermittent fever and relapsing fever ？
发热是由于各种原因使机体产热和散热失衡，导致体温升高
超出正常范围。
Normal range of temperture 体温的正常范围
1、Oral measurement 口测法 (36.3-37.2℃) 2、Measurement of axillary temperature 腋测法 (36-37℃);
Classification of etiology 病因分类
1 2
最常见
y a variety of pathogens各种病原体感染引起。 Bacteria细菌(43%)、virus病毒(7%)、立克次体支原体、 螺旋体、真菌、寄生虫等。
Comprehend 了解 Clinical course of fever and the accompanying symptoms
Questions
1、Is it right to take an antiphlogistic needle with a fever?
2、The classification of fever？
麻疹、猩红热、水痘、风湿热等
Interrogation points 问诊要点
Onset condition 起病情况 Accompanying symptoms 伴随症状 Diagnosis and treatment condition 诊治情况 other condition 其他情况
将不同时间点测量的体温用直线连接，形成的曲线即为热型。
Fever type热型
Fever type continued fever
稽留热
irregular fever 不规则热
undulant fever 波状热
remittent fever
relapsing intermittent fever 回归热 fever 间歇热 弛张热
High fever：39.1～41℃
Ultra high fever：41℃以上
Clinical period 临床分期
Rising period上升期 骤升 缓升 The fever stage高热期 Decline period下降期 骤降 缓降
Fever type 热型
Connect all the temperature records at different time into a line，this line is called fever type.